Individual
MR. TERRY LEE PELAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2022 JEWELL LN, REDDING, CA 96001-4823
(408) 439-1177
Mailing address
2022 JEWELL LN, REDDING, CA 96001-4823
(408) 439-1177
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA22947
CA
Other
Enumeration date
04/24/2013
Last updated
04/06/2021
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